Results of omental flap transposition for deep sternal wound infection after cardiovascular surgery

Annals of Surgery
K YasuuraS Torii

Abstract

Our experience with omental flap transposition in the treatment of deep sternal wound infections is reviewed here with an emphasis on efficacy, risk factors for in-hospital mortality rates, and long-term results. Even with improvements in muscle and omental flap transposition, the timing of closure and the surgical strategy are controversial. Forty-four consecutive patients with deep sternal wound infections were treated using the omental flap transposition from 1985 through 1994. The strategies included debridement with delayed omental flap transposition or single-stage management, which consisted of debridement of the sternal wound and omental flap transposition. Methicillin-resistant Staphylococcus aureus was cultured from more than 50% of the wounds. A logistic regression analysis was used to identify the predictors of in-hospital death after omental flap transposition. There were seven (16%) in-hospital deaths. Univariate analysis demonstrated that hemodialysis and ventilatory support at the time of omental flap transposition were significantly associated with in-hospital mortality rates (p = 0.0023 and p = 0.0075, respectively). Thirty-seven patients whose wounds healed well were discharged from the hospital. Two patients...Continue Reading

References

Jan 1, 1991·Scandinavian Journal of Thoracic and Cardiovascular Surgery·T IvertJ Eldh
Dec 1, 1987·The Annals of Thoracic Surgery·D W Miller, D D Johnson
Mar 1, 1972·Plastic and Reconstructive Surgery·C Dupont, Y Menard
May 24, 1984·The New England Journal of Medicine·J N Sheagren
Oct 1, 1984·The Annals of Thoracic Surgery·M G SarrT R Townsend
Jun 1, 1980·Annals of Surgery·M J JurkiewiczJ Craver
Mar 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·A Yellin

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Citations

Jun 6, 2009·Surgical Endoscopy·Hisamitsu Zaha, Susumu Inamine
Aug 28, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsD A B Claeys
Apr 10, 1999·The Annals of Thoracic Surgery·C A MilanoW G Wolfe
May 2, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Giovanni Domenico TebalaAntonella Zumbo
May 29, 2012·Plastic and Reconstructive Surgery·Jose R CastellóMaria Del Rio
Mar 11, 2011·Interactive Cardiovascular and Thoracic Surgery·Voravit ChittithavornTeera Simapattanapong
Feb 11, 2012·Annals of Vascular Surgery·Russell W JamiesonSimon C A Fraser
Aug 1, 2015·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Takeshiro FujiiYoshinori Watanabe
Sep 12, 2015·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Takeshiro Fujii, Yoshinori Watanabe
Nov 24, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·David A ShifrinJohn D Renucci
Mar 14, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Aina V H GreigMohammed Shibu
Dec 18, 2013·Artificial Organs·Limael E RodriguezMatthias Loebe
Mar 9, 2010·Current Problems in Surgery·Avihu Z GazitA Thomas Pezzella
Nov 21, 2002·The Annals of Thoracic Surgery·Tatjana M FleckMartin Grabenwoger
Mar 1, 2009·Journal of Acupuncture and Meridian Studies·Byung-Cheon LeeKwang-Sup Soh
Apr 11, 2001·Annals of Plastic Surgery·C S HultmanM J Jurkiewicz
Dec 3, 2003·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·James H W ClarksonLena C Andersson
May 26, 2004·Annals of Plastic Surgery·Tatjana M FleckMartin Grabenwoger
Jun 25, 2010·Interactive Cardiovascular and Thoracic Surgery·Onnen GrauhanRoland Hetzer
Jan 1, 2013·Open Journal of Cardiovascular Surgery·Leopold Rupprecht, Christof Schmid
Oct 14, 2004·Annals of Plastic Surgery·Tahsin Oguz AcarturkHoward Edington
Nov 9, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Lachmandath TewarieRashad Zayat
Sep 15, 2018·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Martin SimekPetr Nemec
Aug 26, 2006·Plastic and Reconstructive Surgery·Patrick TansleySimon Withey
Jul 8, 2010·Annals of Plastic Surgery·Amy StumpRonald P Silverman
Oct 27, 2006·Journal of the American Society of Nephrology : JASN·Mohammad ZareieJacob van den Born
Jan 5, 2012·Annals of Plastic Surgery·Hamid R ZahiriDevinder P Singh
Jan 5, 2012·Annals of Plastic Surgery·Shayan Izaddoost, Edward H Withers
Jul 25, 2019·Archives of Plastic Surgery·Luigi SchiraldiPietro Giovanni di Summa
Jul 14, 2012·Annals of Plastic Surgery·Hamid R ZahiriDevinder P Singh
Oct 10, 2018·AJR. American Journal of Roentgenology·Partha HotaMaruti Kumaran
Dec 14, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yuki IkenoYutaka Okita
Aug 28, 2019·Regenerative Therapy·Valerio Di Nicola

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